Pivotable interbody spacer system and method

1. A spinal spacer system comprising:

an interbody spacer, said interbody spacer includes a proximal end, a distal end, and a rotatably coupleable engagement member disposed on said proximal end of said spacer; and

an insertion instrument, said insertion instrument including a handle member, an extension member including a first and a second end, wherein said first end of said extension member is coupled to said handle member, a coupling device configured to selectively couple said interbody spacer to said second end of said extension member, said coupling device comprises a single protruding member extending from said second end of said extension member, said protruding member comprises a threaded member,

an actuator configured to selectively actuate said coupling device

at least one joint in said threaded member; and

an adaptor member including a proximal edge and a distal edge, said proximal edge including at least one frictionally engaging member and said distal edge including a concave spacer receiving surface;

wherein said threaded member passes through said adapter.

2. The spinal spacer system of claim 1 wherein said actuator is coupled to said protruding member;

wherein said actuator is configured to selectively retract said protruding member.

3. The spinal spacer system of claim 2 , wherein said actuator is configured to be positioned in at least a first and a second actuation position;

wherein said first actuation position disposes said protruding member in an extended position; and

wherein said second actuation position disposes said protruding member in a retracted position.

4. The spinal spacer system of claim 3 , including

at least one engagement member formed on said second end of said extension member; and

at least one frictional engagement member formed on said proximal end of said spacer;

wherein said at least one engagement member and said at least one frictional engagement member are configured to engage and frictionally secure said spacer relative to said handle member.

5. The spinal spacer system of claim 4 , wherein:

said at least one engagement member comprises a first plurality of teeth; and

said at least one frictional engagement member comprises a second plurality of teeth.

6. The spinal spacer system of claim 1 , wherein said rotatably coupeable engagement member comprises a cylinder;

said cylinder including a plurality of threads configured to engage with said protruding member.

7. The spinal spacer system of claim 6 , wherein said interbody spacer includes frictional features disposed on said proximal end, said frictional features configured to selectively engage engagement features on said second end of said extension member to selectively fix an angular position of said interbody spacer relative to said handle member.

8. A method for inserting an interbody spacer into a surgical site with a selectively engageable insertion instrument, comprising:

creating a rotatably coupled connection between said interbody spacer and said selectively engageable insertion instrument by a single engagement protrusion from said selectively engageable insertion instrument;

said rotatably coupled connection includes a first threaded member disposed on said insertion instrument, said first threaded member being jointed, an adapter slidably coupled to said first threaded member; and a second threaded member disposed on said interbody spacer, wherein said second threaded member is configured to matingly receive said first threaded member;

fixing said interbody spacer in a first angular orientation with respect to said insertion instrument;

selectively engaging a first frictional feature on said interbody spacer with a portion of said insertion instrument;

selectively engaging said first frictional feature with a second frictional feature disposed on said insertion instrument by retracting said rotatably coupled connection toward said insertion instrument;

inserting said interbody spacer into said surgical site;

releasing said interbody spacer from said first angular position while maintaining said rotatably coupled connection;

pivoting said insertion instrument relative to said coupled connection such that said interbody spacer is in a second angular position with respect to said insertion instrument;

fixing said interbody spacer in said second angular position; and

further inserting said interbody spacer.

9. The method of claim 8 , wherein said rotatably coupled connection comprises a first threaded member on said insertion instrument, said first threaded member matingly engaging a corresponding second threaded member disposed on said interbody spacer.

10. The method of claim 8 , wherein said rotatably coupled connection comprises an expandable member disposed on an end of said insertion instrument, said expandable member coupling to a corresponding receiving orifice defined by said interbody spacer.

11. The method of claim 8 , wherein said fixing said interbody spacer in a first angular orientation comprises selectively engaging a frictional feature on said adapter with a corresponding frictional feature disposed on said insertion instrument.